Ngaba ulawulo lokuzalwa lunokubangela iMigraines?

Umxholo

• Zisebenza njani iipilisi zokulawula inzala?
• Luluphi unxibelelwano phakathi kwepilisi yolawulo lokuzalwa kunye neMigraines?
• Ezinye iziphumo ebezingalindelekanga ezibangelwa liPilisi
• Imiba yomngcipheko ekufuneka uyiKhumbule
• Ungayithintela njani iMigraines ngelixa kuLawulo lokuzalwa
• Ukukhetha iNdlela yoLawulo lokuZalwa ilungile kuwe

Imigraines ayizizo iintloko zemihla ngemihla. Kunye neentlungu ezinamandla, zinokubangela isicaphucaphu, ubuntununtunu bokukhanya, kwaye ngamanye amaxesha ii-auras, ezikukukhanya kokukhanya okanye ezinye iimvakalelo ezingaqhelekanga. Ngaphezulu kwabafazi baseMelika kuye kwafuneka bajongane ne-migraine ngamanye amaxesha. Uninzi lwaba bafazi bakwiminyaka yabo yokuzala kwaye basebenzise iindlela zolawulo lokuzalwa ezisekwe kwihomoni njengepilisi.

Kwabafazi abathile, ukuthatha iipilisi zokuthintela inzala kunokuzisa isiqabu kwimigraines. Kwabanye, ipilisi iqinisa iintloko. Ukuba ufumana i-migraines kwaye ucinga ukuthatha iipilisi zokulawula ukuzalwa, Nazi izinto ezimbalwa omele uzazi.

Zisebenza njani iipilisi zokulawula inzala?

Iipilisi zolawulo lokuzalwa zithathwa ukuthintela ukukhulelwa. Uninzi lweepilisi zineenguqu ezenziwe ngabantu zihomoni zesetyhini i-estrogen (ethinyl estradiol) kunye neprogesterone (progestin). Ezi zibizwa ngokuba ziipilisi zokudibanisa. Isimbiwa sineeprogestin kuphela. Isixa se-estrogen kunye neprogestin kuhlobo ngalunye lwepilisi yolawulo lokuzalwa inokwahluka.

Ngokwesiqhelo, ukunyuka kwe-estrogen ngexesha lokuya esikhathini kuya kubangela ukuba uvule kwaye ukhulule iqanda eliqolileyo. Iihomoni ezikwiipilisi zolawulo lokuzalwa zigcina amanqanaba e-estrogen azinzile ukuthintela ukuphuma kweqanda. Ezi zihormone ziyayinyanzela incindi yomlomo wesibeleko, isenza nzima ukuba isidoda sidade. Banokutshintsha ulungelelwaniso lwesibeleko ukuze naliphi na iqanda elidityaniswe nedlozi lingakwazi ukumiliselwa kwaye likhule.

Luluphi unxibelelwano phakathi kwepilisi yolawulo lokuzalwa kunye neMigraines?

Ngamanye amaxesha, iipilisi zokulawula ukuzalwa zinceda i-migraines. Ngamanye amaxesha, bayenza mandundu intloko. Ulawulo lokuzalwa luchaphazela njani i-migraines kuxhomekeka kumfazi nakwinqanaba lamahomoni akhoyo kwipilisi ayithathayo.

Ukwehla kwamanqanaba e-estrogen kunokubangela i-migraines. Yiyo loo nto abanye abantu basetyhini befumana iintloko ngaphambi nje kwexesha labo, kuxa amanqanaba e-estrogen edipha. Ukuba unayo le migraines yokuya esikhathini, iipilisi zolawulo lokuzalwa zinokunceda ukuthintela iintloko zakho ngokugcina amanqanaba e-estrogen azinzile kuwo wonke umjikelo wokuya esikhathini.

Abanye abantu basetyhini baqala ukufumana i-migraines okanye bafumanise ukuba imigraines yabo iya isiba mandundu xa bethatha iipilisi zokudibanisa. Intloko yabo inokuncipha emva kokuba bebesepilisi iinyanga ezimbalwa.

Ezinye iziphumo ebezingalindelekanga ezibangelwa liPilisi

Ukongeza ekuvuseleleni imigraines kwabanye abantu basetyhini, iipilisi zolawulo lokuzalwa zinokubangela ezinye iziphumo ebezingalindelekanga. Oku kunokubandakanya:

• ukopha phakathi kwexesha
• ukuthamba kwebele
• intloko ebuhlungu
• utshintsho lweemvakalelo
• isicaphucaphu
• ukudumba kweentsini
• ukwanda kokukhutshwa kwilungu lobufazi
• ukutyeba kwakho

Imiba yomngcipheko ekufuneka uyiKhumbule

Zombini iipilisi zolawulo lokuzalwa kunye ne-migraines zinokuwonyusa kancinci umngcipheko wokubetha. Ukuba ufumana i-migraines nge-aura, ukuthatha iipilisi zokudibanisa kunokunyusa umngcipheko wesifo sakho ngakumbi. Ugqirha wakho uya kuphakamisa ukuba uthathe iipilisi zeprogestin kuphela.

Umngcipheko okhulayo wokuqunjelwa kwegazi ukwayanyaniswa nolawulo lokuzalwa kwehomoni. Oku kungakhokelela ku:

• i-vein thrombosis enzulu
• isifo sentliziyo
• icala
• ukumbumba kwemiphunga

Umngcipheko wokuqunjelwa kwegazi usezantsi ngaphandle kokuba:

• batyebe kakhulu
• ukuba noxinzelelo lwegazi
• tshaya imidiza
• baphumla ebhedini ixesha elide

Ukuba kukho enye yezi zinto ezisebenzayo kuwe, thetha nogqirha wakho malunga nokhetho lwakho lolawulo lokuzalwa. Banokukwazi ukucebisa ukhetho olufanelekileyo olunomngcipheko omncinci.

Ungayithintela njani iMigraines ngelixa kuLawulo lokuzalwa

Iipakethe zeepilisi zokulawula ukuzalwa ngokudibeneyo ziqulethe iipilisi ezisebenzayo ezingama-21 ezinamahomoni kunye nesixhenxe esingasebenziyo, okanye i-placebo, iipilisi. Ukuhla ngesiquphe kwi-estrogen ngeentsuku zakho zeepilisi ezingasebenziyo kunokubangela imigraines. Esinye isisombululo kukutshintshela kwipilisi esezantsi kwi-estrogen, ukuze ungafumani kulahla kwehomoni kubukhali. Olunye ukhetho kukuthatha ipilisi equlethe idosi esezantsi ye-estrogen kwiintsuku zakho zepilisi ye-placebo.

Ukukhetha iNdlela yoLawulo lokuZalwa ilungile kuwe

Ukuba ipilisi yenza ukuba i-migraine yakho ibe mandundu okanye yenzeke rhoqo, unokufuna ukutshintshela kwenye indlela yolawulo lokuzalwa. Thetha nogqirha wakho malunga nokufumana uhlobo olutsha lokhuseleko ngaphambi kokuba uphume kwipilisi. Sukuyeka nje ukuyithatha.Malunga nokukhulelwa okungacwangciswanga kungenxa yokuba abasetyhini bayeke ukulawulwa kwabo ngaphandle kokufumana isicwangciso sokugcina.

Ugqirha wakho uya kukunceda uthathe isigqibo sokuba yeyiphi ipilisi ekulungeleyo ngokusekwe kwimbali yakho yonyango. Nangona ipilisi yokudibanisa inokunceda i-migraines yakho, isenokungabi lolona khetho lukhuselekileyo. Unokuphinda ujonge ezinye iindlela zokuthintela ukukhulelwa ezifana nezangqa ze-intrauterine, amakhonkco obufazi, kunye neenaliti.